Driving Value With Interoperability: Building a Digital Quality Ecosystem
Standardization of data and evolution of digital quality measures (dQM) help drive value by making data more accessible, and measurement more accurate and relevant closer to point of care. This panel brings together experts in quality measurement to explore how improved standardization in interoperability of healthcare data and digital quality can significantly improve the quality ecosystem and enable a learning health system. Panelists will discuss CMS’ and NCQA’s visions for how standardized and interoperable digital data can be exchanged to support quality measurement, improvement, and other use cases. The CMS and ONC 2020 interoperability rules created processes for advancing standards and implementation by encouraging innovation with data exchange and FHIR® API technology. The pending progress in interoperability creates an opportunity to leverage standardized data and FHIR® solutions. CMS uses quality measures in initiatives including but not limited to pay for reporting, public reporting, and quality improvement. CMS aims to achieve a quality measurement system fully based on digital measures. NCQA, the steward of the HEDIS®, is aligned with CMS’ vision and is working to digitize HEDIS® measures and enable their configurability and scalability, while also building resources and tools to validate data accuracy and increase trust in the healthcare system.
- Explain the business case for FHIR-based architecture for industry, and how FHIR can be leveraged for quality measurement and reporting
- Illustrate the future state data flows for quality measurement between providers, payers, intermediaries, and other users
- Identify common elements of CMS and NCQA direction in the transition to full digital quality measurement
- Provide industry stakeholders with visibility of their investments in data standardization and interoperability